VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Laurie McCreedy
7815 Harwood Place
Springfield, VA 22152
(703) 644-0034

Current Inspector: Miranda Wright (571) 596-3661

Inspection Date: April 27, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 04/23/2021 and concluded on 04/27/2021. The Provider was contacted by email to initiate the inspection. There were five children with one caregivers for twelve points which is within ratio for supervision. Reviewed a child's record, medication authorization, physical space (using FaceTIme), trainings and emergency preparation. One medication was reported to be on-site the day of the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. Feel free to contact me if you have any questions. Thank you Ann Dramstad Ann.dramstad@dss.virginia.gov 703-314-0860

Violations:

Standard #:	22VAC40-111-700-B
Description:	Based on provider statement, no written authorization form is available for an emergency medication,. Evidence: Child #2 has an emergency medication on-site and no written authorization from the parent or physician has been completed to keep the medication at the home longer than 10 days.
Plan of Correction:	Waiting for child to get into Dr, due to COVID -for new meds and testing.
Standard #:	22VAC40-111-710
Description:	Based on provider statement and a visual of the medication, the medication is not in the original container. Evidence: The medication for Child #2 is not maintained in the original labeled box with identifying information.
Plan of Correction:	Waiting for child to get into dr. Due to COVID-for new meds and allergy testing.
Standard #:	22VAC40-111-720-B
Description:	Based on provider statement, a medication is present past the expiration date. Evidence: A medication for Child #2 expired 7/2020.
Plan of Correction:	Waiting for child to get into Dr due to COVID-for testing and new meds.
Standard #:	22VAC40-111-430-A
Description:	Based on virtual inspection and provider statement, no gate is present to prevent children under the age of 2 years access to the stairs. Evidence: No hardware installed gate is present to prevent a child two years of age and under access to the stairs. Child #1 is 11 months of age.
Plan of Correction:	Working on a solution. No wall on one side so looking into options.
Standard #:	22VAC40-111-540-B
Description:	Based on virtual inspection, a prohibited piece of equipment was present. Evidence: A children's walker was in the daycare space.
Plan of Correction:	Been taken out of the room.